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Chest, Vol 85, 824-826, Copyright © 1984 by American College of Chest Physicians

ARTICLES

Delayed postoperative cardiac tamponade mimicking severe tricuspid valve stenosis

SG Young, G Gregoratos, JA Swain and CI Joyo

A patient developed acute, severe hemodynamic deterioration five days after an aortic valve replacement. Cardiac catheterization revealed a markedly elevated right atrial pressure but a normal right ventricular end-diastolic pressure. Angiography revealed an extrinsic mass causing compression of the right atrium and the tricuspid anulus. A large clot overlying the right atrium and ventricle was found at emergency surgery. Postoperative cardiac tamponade may result in an atypical hemodynamic presentation when there is selective compression of one chamber or of a valve anulus.


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J. M. Garcia-Pinilla, J. J. Gomez-Doblas, I. Rodriguez-Bailon, R. Alcantara, M. F. Jimenez-Navarro, and E. De Teresa
Reversible Tricuspid Stenosis Secondary to Massive Ascites in Hepatic Cirrhosis
Ann Intern Med, February 3, 2004; 140(3): 233 - 234.
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